Organization Active NPI

J, L and J, Inc.

  • Trauma Surgery Physician
  • Lynwood, CA
National Provider Identifier
1801217435
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
A62260 Issued in CA
Legal business name
J, L AND J, INC.
Practice address
3737 Martin Luther King Jr Blvd
Suite 404
Lynwood, CA 90262-3513
Phone
(424) 213-4290
Fax
(424) 213-4295
NPI assigned
Dec 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deanna Love
Title
Manager
Phone
(424) 213-4290

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X A62260 CA
Surgical Critical Care PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0102X A62260 CA
Trauma Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0127X A62260 CA Primary

Addresses

Primary practice location

3737 Martin Luther King Jr Blvd
Suite 404
Lynwood, CA 90262-3513

Mailing address

3737 Martin Luther King Jr Blvd
Suite 404
Lynwood, CA 90262-3513
Phone (424) 213-4290

National Provider Directory

National Provider Directory

Locations

3628 E Imperial Hwy
Ste 204
Lynwood, CA 90262

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1801217435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 404",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623513",
            "telephone_number": "424-213-4290",
            "fax_number": "424-213-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 404",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623513",
            "telephone_number": "424-213-4290",
            "fax_number": "424-213-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J, L AND J, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "424-213-4290"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A62260",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "A62260",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "A62260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.